title: One-stage nipple and breast reconstruction following areola-sparing mastectomy.
abstract: BACKGROUND
  Skin-sparing mastectomy with immediate breast reconstruction is increasingly becoming a proven surgical option for early-stage breast cancer patients. Areola-sparing mastectomy (ASM) has also recently become a popular procedure. The purpose of this article is to investigate the reconstructive and aesthetic issues experienced with one-stage nipple and breast reconstruction using ASM.
  
  
  METHODS
  Among the patients who underwent mastectomy between March 2008 and March 2010, 5 women with a low probability of nipple-areolar complex malignant involvement underwent ASM and immediate breast reconstruction with simultaneous nipple reconstruction using the modified C-V flap. The cosmetic outcomes of this series were reviewed by plastic surgeons and patient self-assessment and satisfaction were assessed via telephone interview.
  
  
  RESULTS
  During the average 11-month follow-up period, there were no cases of cancer recurrence, the aesthetic outcomes were graded as excellent to very good, and all of the patients were satisfied. Two patients developed a gutter-like depression around the reconstructed nipple, and one patient developed skin erosion in a small area of the areola, which healed with conservative dressing. The other complications, such as necrosis of the skin flap or areola, seroma, hematoma, or fat necrosis did not occur.
  
  
  CONCLUSIONS
  Since one-stage nipple and breast reconstruction following ASM is an oncologically safe, cost-effective, and aesthetically satisfactory procedure, it is a good surgical option for early breast cancer patients.
authors.affiliation: Department of Plastic Surgery, The Catholic University of Korea College of Medicine, Seoul, Korea.
authors.forename: Hye Ri
authors.initials: HR
authors.lastname: Kim
authors.forename: Jin Soo
authors.initials: JS
authors.lastname: Lim
authors.forename: Sue Min
authors.initials: SM
authors.lastname: Kim
authors.forename: Sung No
authors.initials: SN
authors.lastname: Jung
authors.forename: Gyeol
authors.initials: G
authors.lastname: Yoo
authors.forename: Eun Young
authors.initials: EY
authors.lastname: Rha
keywords: Breast; Mammaplasty; Mastectomy; Nipples